The world's first scalable parallel, FHIR-native diagnostic orchestration engine. Built for the most complex cases in modern medicine. Powered by Google's A2A Protocol and SHARP.
Any Provider on the Prompt Opinion ecosystem identifies a complex, multi-systemic case that requires deep diagnostic reasoning.
Vigil is called via the A2A protocol, receiving the SHARP context (FHIR URL, Token, Patient ID) as an authenticated metadata extension.
High-speed analysis of the patient record to determine which specialist domains should be activated for analysis.
Fires simultaneous requests to all selected agents. Architecture is modular, meaning zero-degradation if one agent fails.
Consults from 15 specialist agents currently deployed. Vigil's architecture can support **hundreds of clinical specialist agents** running in parallel.
Integrates inputs from all specialists, performing cross-agent signal verification and identifying diagnostic overlaps.
Final verification layer. Flags psychosomatisation bias and audits evidence integrity before finalising the differential.
Vigil creates a FHIR Task in the patient's record, ensuring a permanent, attributable audit trail of the diagnostic reasoning.
If authorised, a Voice Agent (Twilio/WebSocket) initiates a conversational diagnostic session to bridge the clinical gap using the patient's specific clinical context.